1 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention

Privacy Act of 1974; System of Records

AGENCY : Department of Health and Human Serv ices, Centers for Disease Control and Prevention, National Institute for Occupational Health and Safety

ACTION: Notification of proposed alte red system of records.

SUMMARY: The Department of Health and Human Se rvices (HHS) proposes to alter System of Records, 09-20-0147, “ Occupational Health Epidemiologi cal Studies and EEOICPA Program Records, HHS/CDC/NIOSH” In accordance with the requirements of the Privacy Act, the Centers for Disease Control and Prevention (CDC) is publishing not ice of the amendment of the categories of individuals covered by the system of records; the categor ies of records; the authorities; and the purposes for maintenance of the system of records. In addition, we are proposing to add new routine uses. The purpose of these modifications is to provide notice that the National Institute for Occupational Safety and Health (NIOSH) is complying with the Privacy Act in executing its responsibilities under the James Zadroga 9/11 Health and Compensation Act of 2010 found at Title XXXIII of the Public Health Service Act, 42 U.S.C. 300mm – 300mm-61 (Title XXXIII). To reflect these changes, NIOSH is also revising the name of the system of records to “Occupational He alth Epidemiological Studies, EEOICPA Program2 Records and WTC Health Program Records, HHS/CDC /NIOSH.” The entire resulting system of records notice, as amended, appears below.

DATES: Comments must be re ceived on or before [ Insert date 30 days after the date of publication in the Federal Register] . In order to comply with th e tight statutory deadline for implementation of the Zadroga Act, the changes in this system of reco rds notice are effective immediately, except for the new routine uses, which will become effective 30 days from the date of publication unless CDC receives comments that require alterations to this notice. HHS has requested a waiver of the OMB review period in accordance with Appendix 1 of Circular A-130.

ADDRESSEES: You may submit written comments, iden tified by the Privacy Act System of Records Number 09-20-0147, to the following addre ss: HHS/CDC Senior Official for Privacy (SOP), Office of the Chief Information Security Officer (OCISO), 4770 Bu ford Highway – M/S: F-35, Atlanta, GA 30341.

You may also submit written co mments electronically to www.regulations.gov . Comments must be identified by Docket No. CDC-2011-0006. Please follow directi ons at www.regulations.gov to submit comments.

All relevant comments received will be posted publicly to www.regulations.gov without change, including any personal or proprietary information provided. An electronic ve rsion of the draft is available to download at http://www.regulations.gov

.3 Written comments, identified by Docket No. CDC-2011-0006, and/or Privacy Act System of Records Number 09-20-0147 , will be available for public inspection Monday through Friday, except for legal holidays, from 9 a.m. until 3 p.m., Eastern Daylight Time, at 4770 Buford Highway – M/S: F-35, Atlanta, GA 30341. Please call ahead to (770) 488-8660, and ask for a representative from Office of the Chief Inform ation Security Officer (OCISO) to schedule your visit. Comments may also be viewed at www.regulations.gov

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FOR FURTHER INFORMATION CONTACT: Beverly E. Walker, Chief Privacy Officer Centers for Disease Control and Prevention, 4770 Buford Highway – M/S: F-35 Atlanta, Georgia 30341, (770) 488-8660. Th is is not a toll-free number.

SUPPLEMENTARY INFORMATION: CDC proposes to alter an ex isting system of records: 09–20–0147, ‘‘Occupational Health Epidemiological Studies and EEOICPA Program Records, HHS/CDC/NIOSH,’’ last published at 76 FR 4463, January 25, 2011, to address World Trade Center Health Program records needed to ca rry out the James Zadroga 9/11 Health and Compensation Act of 2010, Title XXXIII of the Public Health Service Act (42 U.S.C. §§ 300mm – 300mm-61) (the Ac t). Under the WTC Health Program, the WTC Program Administrator is responsible for enrolling qualif ied individuals who responded to the New York City, Shanksville, PA, and Pentagon disaster s ites and to qualified survivors of the New York City attacks; and to provide monitoring and treatm ent to eligible individuals for WTC related and WTC associated health conditions. Previously, a health screening program for responders began4 in 2002 and was extended funding by Congress a nd implemented as a screening and care program under cooperative agreements with certain multidisciplinary clinical centers experienced with the WTC responder population. The program was again expanded in 2008 to provide initial health evaluations , diagnostic and treatment services for residents, students, and others in the community affected by the Septem ber 11, 2001, terrorist attack s in New York City. The Zadroga Act establishes the WTC Health Program within HHS, and so the program will assume the functions and goals of the cooperativ e agreement programs. Individuals who are eligible and qualified as WTC re sponders or screening-eligib le and certified-eligible WTC survivors may receive an initial health evalua tion, medical monitoring and treatment under the new WTC Health Program. Under this new authorit y, NIOSH will, for the first time, be directly responsible for applications for eligibility and provide for medi cal care under contracts. The changes to the system of records will enable NIOSH’s WTC Health Program to fulfill its new responsibilities under Title XXXIII.

The following amendments are made to this system of records: System Name is changed to the “Occupationa l Health Epidemiological Studies, EEOICPA Program Records and WTC Health Program Records, HHS/CDC/NIOSH.” The System Location is being changed to a dd a new location for the WTC Health Program Records.

Categories of individuals covered by the system of records is expa nded by including the individuals enrolled or claiming eligibility in the WTC Health program, and by deleting the term “working” when describing the affected populati on, so as to include WTC survivors as well.5 Categories of records is amended by adding the a description of reco rds relating to eligibility and qualification for enrollment in the WTC Health program and records related to provision of treatment of enrollees for WT C related and WTC associated health conditions under the WTC Health Program.

The authority and purpose for main tenance of the system of reco rds are amended to include the new authority in the James Zadroga Health and Compensation Act of 2010, Public Health Service Act, Title XXXIII, “World Trade Center Health Program” (42 U.S.C. 300mm – 300mm61), and to explain this additional purpose.

We have added one routine use of general applic ability regarding litigation. We are taking the opportunity to use standard langu age recommended by OMB for use in litigation that applies to all records of this system of records. We are also adding one routine use of general applicability regarding disclosure to contractors.

Two new routine uses are added th at apply only to the WTC Health Program records. The first permits disclosure of information to enable coordi nation of benefits with fe deral, state, local or other workers compensation programs, or with pub lic or private health plans, for which the beneficiary might also be eligible.

One of the provisions of the Zadroga Act is th at individuals who recei ved medical monitoring and treatment benefits from the existing medical monitoring and treatment program prior to July 1, 2011, continue to be qualified for the new progr am. However, such an individual is not6 qualified to enroll in the new WTC Health program if the individual’s name is on the terrorist watch list. In order to implement this provi sion, NIOSH is publishing a second new routine use that would permit disclosure of certain personal identifying information to the Department of Justice and its contractors to provide terrorist sc reening support in accordance with this statutory obligation.

The routine uses of the original system of records notice continue to be in effect. We have reorganized the routine uses to make clear wh ich ones apply to which programs, and which are of general applicability.

The storage and retrieval section is amended to make clear that records are retrieved by individual health car e identifier number.

The Retention and disposal section is changed to add a new retention and disposal period for WTC Health Program records.

The System manager(s) and address section is amended to add a new system manager and address for the WTC Health Program records.

CDC filed a modified or altered system of reco rds report with the Chair of the House Committee on Oversight and Government Reform and th e Chair of the Senate Committee on Homeland Security & Governmental Affairs. CDC has also f iled a report with the Administrator, Office of Information and Regulatory Affairs, Office of Management and Budget (OMB), and has7 requested waiver of OMB’s usual review period in accordance with Appendix I of OMB Circular
A-130.

A forthcoming rulemaking implementing the provisi ons of the Zadroga Act will appear in the Federal Register

.8 FEDERAL REGISTER BILLING CODE: 4163-18-P System name : Occupational Health Epidemiologi cal Studies and EEOICPA Program Records and WTC Health Program Records, HHS/CDC/NIOSH Security classification : None. System location : WTC Health Program, NIOSH, Ce ntury Center Boul evard, Building 2400, Mail Stop E-74, Atlanta, GA 30329

Division of Surveillance, Hazard Evaluation, and Field Studies (DSHEFS), National Institute for Occupational Safety and Health (NIOSH), R obert A. Taft Laboratories, 4676 Columbia Parkway, Cincinnati, OH 45226.

Division of Respiratory Disease Studies (DRDS), National Institute for Occupational Safety and Health (NIOSH), 1095 Willowdale Road, Morgantown, WV 20505-2888.

Pittsburgh Research Laboratory, NIOSH, 626 Cochrans Mill Road, Pittsburgh, PA 15156. Spokane Research Laboratory, NIOSH, 315 E. Montgomery Avenue, Spokane, WA 99207. Office of Compensation Analysis and Support (OCAS), NIOSH, Robert A. Taft Laboratories, 4676 Columbia Parkway, Cincinnati, Ohio 45226 and Federal Records Center, 3150 Be rtwynn Drive, Dayton, OH 45439. Data are also occasionally located at contractor sites as studies are developed, data collected, and reports written. A list of contract or sites where individually identifiable data are currently located is available upon request to the system manager.9 Also, occasionally data may be located at the facilities of collaborat ing researchers where analyses are performed, data colle cted and reports written. A list of these facilities is available upon request to the system manager. Data may be located only at those faci lities that have an adequate data security program and the collabora ting researcher must return the data to NIOSH or destroy individual identifiers at the conclusion of the project.

Categories of individual s covered by the system : That segment of the population exposed to physical and/or chemical agents or other wor kplace hazards that may damage the human body in any way. Some examples are: 1) organic carcinog ens; 2) inorganic carcinogens; 3) mucosal or dermal irritants; 4) fibrogenic materials; 5) acute toxic agents includ ing sensitizing agents; 6) neurotoxic agents; 7) mutagenic (male and fema le) and teratogenic agen ts; 8) bio-accumulating non-carcinogen agents; 9) chronic vascular disease-causing ag ents; and (10) ionizing radiation. Also included are those individuals in the gene ral population who have been selected as control groups. Workers employed by the Department of En ergy and its predecessor agencies and their contractors are also included, as are cancer–related claimants under the Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA). Individuals enrolled in or otherwise claiming eligibility and qualificati on for enrollment in the WTC Health Program created under Title XXXIII of the Pu blic Health Service Act.

Categories of records in the system : Physical exams, sputum cyto logy results, questionnaires, urine test records, X-rays, medi cal history, pulmonary function test records, medical disability forms, blood test records, hearing test results, smoking history, occupational histories, previous10 and current employment records, union membership records, driv er's license data, demographic information, exposure history information and test results are examples of the records in this system. The specific types of r ecords collected and maintained are determined by the needs of the individual study. Also incl uded are records of cancer-rel ated claimants under EEOICPA." Also included are applications for enrollment in the WTC Health Progr am and, once enrolled, screening and medical records, and financial records related to payment and reimbursements for care under the WTC program.

Authority for maintenance of the system : Public Health Service Ac t, Section 301, "Research and Investigation" (42 U.S.C. 241); Occupational Safety and Health Act, Section 20, "Research and Related Activities” (29 U.S.C. 669); the Federal Mine Safety and Health Act of 1977, Section 501, "Research" (30 U.S.C. 951) a nd the Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA) ( 42 U.S.C.S. 7384, et seq.); and the Public Health Service Act, Title XXXIII, “World Trade Center Health Program” (42 U.S.C. 300mm – 300mm-61).

Purpose(s) : Studies carried out under this system are to evaluate mortality and morbidity of occupationally related diseases and injuries, to determine their causes, and to lead toward prevention of occupationally related diseases an d injuries in the future. EEOICPA records are maintained to enable NIOSH to fulfill its dos e reconstruction responsib ilities under the Act. WTC Health Program records in this system are maintained and used to enable NIOSH to fulfill WTC Program Administrator res ponsibilities make determina tions about eligibility and11 qualification, provide for medical care, pay for that care, and coordinate w ith other health benefit programs under Title XXXIII of the Public Health Service Act, 42 U.S.C. 300mm – 300mm-61.

Routine uses of records maintained in the system, including categories of users and the purposes of such uses : In the event of litigation where the defendant is: (a) The Department, any component of the Department, or any employee of the Department in his or her official capacity; (b) the United States where the Department determines that the cl aim, if successful, is likely to directly affect the operations of the Department or any of its components; or (c) any Department employee in his or her individual capacity wh ere the Department of Justice has agreed to represent such employee, for example, in defending a claim ag ainst the Public Health Service based upon an individual's mental or physical condition and alleged to have aris en because of activities of the Public Health Service in connection with such individual, disclosure may be made to the Department of Justice to enable that Department to present an effectiv e defense, provided that such disclosure is compatible with the purpose for which the records were collected. Records may be disclosed to the Department of Justice when (1) HHS, or any component thereof; or (2) any employee of HHS in his or her official capacity; or (3) any employee of HHS in his or her individual capacity where the Department of Justice or HHS has agreed to represent the employee; or (4) the United States, is a party to litigation or has an inte rest in such litigation, and the use of such records by the Department of Justice is deemed by HHS to be relevant and necessary to the litigation; provided, however, that in each case it has been determined that the disclosure is compatible with the purpose for which the records were collected.12 Records may be disclosed to a contractor perf orming or working on a contract for HHS and who has a need to have access to the information in the performance of its duties or activities for the HHS in accordance with law and with the contract. The contractor is required to comply with the applicable provisions of the Privacy Act.

Records subject to the Privacy Act are disclosed to private firms for data entry, scientific support services, nosology coding, computer systems anal ysis and computer programming services. The contractors promptly return da ta entry records after the cont racted work is completed. The contractors are required to main tain Privacy Act safeguards.

Certain diseases or exposures may be reported to State and/or local health departments where the State has a legally constituted reporting program for communicable diseases and which provides for the confidentiality of the information.

Disclosure of records or portions of records may be made to a Member of Congress or a Congressional staff member submitting a verified re quest involving an individual who is entitled to the information and has requested assistance from the Member or staff member. The Member of Congress or Congressional staff member mu st provide a copy of the individual's written request for assistance.

Disclosure may be made to NIOSH collaborating researchers (e.g., NIOSH contractors, grantees, cooperative agreement holders, or other Federal or State scientists) in order to accomplish the research purpose for which the records are collect ed. The collaborating researchers must agree in13 writing to comply with the confidentiality provi sions of the Privacy Act and NIOSH must have determined that the researchers' data securi ty procedures will prot ect confidentiality.

THE FOLLOWING ROUTINE US ES APPLY ONLY TO EPIDEMIOLOGICAL STUDIES In the event of litigation initiated at the request of NIOSH, the Institute may disclose such records as it deems desirable or necessary to the Department of Justice and to the Department of Labor, Office of the Solicitor, where appropriate , to enable the Departments to effectively represent the Institute, pr ovided such disclosure is compatible with the purpose for which the records were collected. The only types of litigation proceedings that NIOSH is authorized to request are: (1) Enforcement of a subpoena issued to an employer to provide relevant information; and (2) administrative search warrants to obtain access to places of employment and relevant information therein and related contempt citations against an employer for failure to comply with a warrant obtained by the Institute; and (3) injunctive relief against employers or mine operators to obtain access to relevant information.

Portions of records (name, So cial Security number if known, da te of birth, and last known address) may be disclosed to one or more of the sources selected from t hose listed in Appendix I, as applicable. This may be done for obtaining a determination regarding an individual's health status and last known address. If the sources de termine that the individual is dead, NIOSH may obtain death certificates, which state the cause of death, from the appropriate Federal, State or local agency. If the individual is alive, NIOS H may obtain information on health status from disease registries or on last know n address in order to contact th e individual for a health study or14 to inform him or her of health findings. This information on health status enables NIOSH to evaluate whether excess occupationally relate d mortality or morbidity is occurring.

Disclosure of epidemiologic study records pertai ning to uranium workers may be made to the Department of Justice to be used in determin ing eligibility for compensation payments to the uranium workers or their survivors.

Records may be disclosed by CDC in connection with public health activities to the Social Security Administration for sources of locati ng information to accomplish the research or program purposes for which the records were collected.

THE FOLLOWING ROUTINE US ES APPLY ONLY TO EEOICPA PROGRAM RECORDS: Disclosure of dose reconstructions, epidemio logic study records and employment and medical information pertaining to Department of Energy employees and other cancer-related claimants covered under the Energy Employees Occupatio nal Illness Compensation Program Act may be made to the Department of Labor to be used in determining eligibility for compensation payments to such claimants and in defending its determinations under the Act.

Disclosure of personal identifying information as sociated with cancer-related claims under the Energy Employees Occupational Illness Compensation Program Act may be made to the Department of Energy, other federal agencies, other government or pr ivate entities and to private-sector employers to permit these entities to retrieve records required to reconstruct15 radiation doses and to enable NIOSH to evaluate petitions for inclusion in the Special Exposure Cohort.

Completed dose reconstruction reports for can cer-related claims under the Energy Employees Occupational Illness Compensation Program Act ma y be released to the Department of Energy and the Department of Labor to permit thes e entities to fulfill EEOICPA and HHS dose reconstruction regulation requirement s to notify claimants of their dose reconstruction results. Disclosure of personal identifying information as sociated with cancer-related claims under the Energy Employees Occupational I llness Compensation Program Act may be made to identified witnesses as designated by the O ffice of Compensation Analysis a nd Support to assist NIOSH in obtaining information required to complete the do se reconstruction process and to enable NIOSH to evaluate petitions for inclusi on in the Special Exposure Cohort.

Records may also be disclosed when deemed de sirable or necessary, to the Department of Justice, and/or the Department of Labor, to enab le those Departments to effectively represent the Department of Health and Human Services a nd/or the Department of Labor in litigation involving the Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA).

THE FOLLOWING ROUTINE USES APPL Y ONLY TO WTC HEALTH PROGRAM RECORDS: Disclosure to the Department of Justice and its contractors provide terrori st screening support in accordance with NIOSH's statutory obligation to determine whether an individual is on the16 "terrorist watch list" as specified in Secti on 3311 and Section 3321 of the Zadroga Act and is eligible and qualified to be enrolled or certif ied in the WTC Health Program as specified by statute. Disclosure will be limited to only th e information that is necessary to determine eligibility and qualificati on under the statute. The Department of Justice and its contractors will only use the information for the purpose of determ ining eligibility and qualification for the WTC Health Program and will not retain the informa tion for longer than is necessary to accomplish that purpose. Personal identif ying information needed for this screening process will be destroyed or returned to NIOSH onc e it is determined that an indi vidual is not on the “terrorist watch list.”

Disclosure of personally identifying informa tion to applicable entities for the purpose of reducing or recouping WTC Health Program payments made to individuals under a workers’ compensation law or plan of the United States, a St ate, or locality, or other work-related injury or illness benefit plan of the employer of such worker or public or private health plan as required under Title XXXIII of the Pub lic Health Service Act.

Policies and practices for storing, retrieving, a ccessing, retaining, and disposing of records in the system : Storage: Manager files, card files, electronic computer tapes, di sks, files and printouts, microfilm, microfiche, and ot her files as appropriate. Retrievability : Name, assigned identif ication number, or soci al security number Safeguards :17 1. Authorized Users : A database software security package is utilized to control unauthorized access to the system. Access is granted to only a limited number of physicians, scientists, statisticians, and de signated support staff or contractors, as authorized by the system mana ger to accomplish the stated purposes for which the data in this system have been collected.
2. Physical Safeguards : Hard copy records are kept in locked cabinets in locked rooms. Guard service in buildings pr ovides screening of visitors . The limited access, secured computer room contains fire extinguishers and an overhead sprinkler system. Computer workstations and automated records are locate d in secured areas. El ectronic anti-intrusion devices are in operation at th e Federal Records Center.
3. Procedural Safeguards : Data sets are password protec ted and/or encrypted. Protection for computerized records both on the mainframe and the NIOSH Local Area Network (LAN) includes programmed verification of va lid user identificati on code and password prior to logging on to the system, mandatory password changes, limited log-ins, virus protection, and user rights/file attribute re strictions. Password pr otection imposes user name and password log-in requirements to prev ent unauthorized access. Each user name is assigned limited access rights to files and direct ories at varying leve ls to control file sharing. There are routine daily backup procedures and secure o ff-site storage is available for backup tapes. Additional safeguards may be built into the program by the system analyst as warranted by the sensitivity of the data. Employees and contractor staff who maintain reco rds are instructed to check with the system manager prior to making disclosures of data. When individually identified da ta are being used in a room, admittance at either government or contractor sites is restricted to specifically authorized18 personnel. Privacy Act provisions are included in contracts, and the Proj ect Director, contract officers and project officers oversee compliance with these requirements. Upon completion of the contract, all data will be either returned to CDC or destroyed, as specified by the contract.
4. Implementation Guidelines : The safeguards outlined above are in accordance with the HHS Information Security Program Polic y and FIPS Pub 200, “Minimum Security Requirements for Federal Information and Information Systems.” Data maintained on CDC’s Mainframe and the NIOSH LAN are in compliance with OMB Circular A-130, Appendix III. Security is provided for info rmation collection, pr ocessing, transmission, storage, and dissemination in general support sy stems and major appli cations. Security is provided for information collection, processi ng, transmission, storage, and dissemination in general support systems and major appli cations. The CDC LAN currently operates under a Microsoft Windows Server and is in compliance with applicable security standards.

Retention and disposal : Records are retained and disposed of according to the provisions of the CDC Electronic Records Control Schedule for NIOSH records. Research records are maintained in the agency for three years after the close of the study. Records transferred to the Federal Records Center when no longer needed for evaluation and analysis are destroyed after 75 years fo r epidemiologic studies, unless needed for further study. Records from health hazard evalua tions will be retained at least 20 years. EEOICPA program records are transferred to the Federal Records Center 15 years after the case file becomes inactive and are destr oyed after 75 years. WTC Health Program records are transferred to the Federal Records Center 15 years after the case file becomes19 inactive and are destroyed after 75 years. A ny records provided to the Department of Justice for the purpose of screening individuals against the “terrorist watch list” will be destroyed (and not retained by th e Department of Justice) onc e it is determined that an individual is not on the “terrorist watch list.”
Paper files that have been scanne d to create electronic copies are disposed of after the copies are verified. Disposal methods include erasing computer tapes and burning or shredding paper materials.

System manager(s) and address : Director, WTC Health Progr am, NIOSH, Century Center Boulevard, Building 2400, Mail Stop E-74, Atlanta, GA 30329. Program Management Officer, Division of Surve illance, Hazard valuations, and Field Studies (DSHEFS), National Institute for Occupational Sa fety and Health (NIOSH), Robert A. Taft Laboratories, Rm. 40A, 4676 Columbia Parkway, Cincinnati, OH 45226.

Director, Division of Respiratory Disease Stud ies (DRDS), National Institute for Occupational Safety and Health (NIOSH), Bldg. ALOSH, Rm. H2920, 1095 Willowdale Road, Morgantown, WV 26505-2888.

Director, Pittsburgh Research Laboratory, NI OSH, 626 Cochrans Mill Road, Pittsburgh, PA 15156.

Director, Spokane Research Laboratory, NIOSH, 315 E. Montgomery Avenue, Spokane, WA 99207.20 Director, Office of Compensati on and Support (OCAS), NIOSH, Robert A. Taft Laboratories, 4676 Columbia Parkway, Cincinnati, OH 45226 Policy coordination is provided by: Director, National Institute for Occupational Safety and Health (NIOSH), Bldg. HHH, Rm. 715H, 200 I ndependence Avenue, SW, Washington, D.C.
20201.

Notification procedure : An individual may learn if a record exists about himself or herself by contacting the system manager at the above addre ss. Requesters in person must provide driver's license or other positive identifi cation. Individuals who do not appe ar in person must either: (1) submit a notarized request to verify their identity; or (2) certify th at they are the individuals they claim to be and that they understand that the kn owing and willful request for or acquisition of a record pertaining to an individua l under false pretenses is a cr iminal offense under the Privacy Act subject to a $5,000 fine.

An individual who requests notif ication of or access to medical records shall, at the time the request is made, designate in writing a responsible representative who is willing to review the record and inform the subject i ndividual of its contents at th e representative's discretion. A subject individual will be granted direct access to a medical record if the system manager determines direct access is not likely to have adverse effect on the subject individual. The following information must be provided when requesting notification: (1) full name; (2) the approximate date and place of the study, if known; and (3) nature of the questionnaire or study in which the requester participated.21 Record access procedures : Same as notification procedures . Requesters should also reasonably specify the record contents being sought. An accoun ting of disclosures that have been made of the record, if any, may be requested.

Contesting record procedures : Contact the official at the address specified under System Manager above, reasonably identify the record and specify th e information being contested, the corrective action sought, and the reasons for requesting the correction, along with supporting information to show how the record is inaccu rate, incomplete, untimely, or irrelevant.

Record source categories : For research studies, vital stat us information is obtained from Federal, State and local governments and other av ailable sources selected from those listed in Appendix I, but information is obtained direc tly from the individual and employer records, whenever possible. EEOICPA records are obta ined from the individual subject and the employer’s records. WTC Health Program Record s are obtained from i ndividual applicants and enrollees, from medical providers who have treated eligible indi viduals, and from data centers that are repositories of demographic and c linical information about WTC responders and survivors.

Systems exempted from certain provisions of the act : None.

APPENDIX I - Potential Sources for Determinatio n of Health Status, Vital Status and/or Last Known Address :22 Military records Appropriate State Motor Vehicl e Registration Departments Appropriate State Driver's License Departments Appropriate State Gove rnment Division of: Assistance Payments (Welfare), Social Servi ces, Medical Services, Food Stamp Program, Child Support, Board of Corrections, Aging, Indian Affairs, Worker's Compensation, Disability
Insurance Retail Credit Association follow-up Veterans Administration files Appropriate employee union or association records Appropriate company pension or employment records Company group insurance records Appropriate State Vital Statistics Offices Life insurance companies Railroad Retirement Board Area nursing homes Area Indian Trading Posts Mailing List Correction Card s (U.S. Postal Service) Letters and telephone conversations with former employees of the same establishment as cohort member Appropriate local newspaper (obituaries) Social Security Administration Internal Revenue Service23 National Death Index Centers for Medicare & Medicaid Services Pension Benefit Guarantee Corporation State Disease Registries Commercial Tele phone Directories24 DATE May 25, 2011 James D. Seligman Chief Information Officer Centers for Disease Control and Prevention

BILLING CODE: 4163-18-P

[FR Doc. 2011-13470 Filed 05/26/2011 at 11: 15 am; Publication Date: 06/01/2011]